Our expert says:
The symptoms you described are not specific to pregnancy and can occur sometimes with excessive estrogen production and occasionally with a combination of estrogen and progesterone production. Many patients with advance polycystic ovarian syndrome (PCOS) may not respond to 100mg of Fertomid and therefore my advice would be that you use ultrasound follicle monitoring to establish the type of response you have with these drugs. In some case of PCOS despite the reasonable response the final surge of ovulation fails to occur and cyst may develop as a result. This also needs to be established by ultrasound scanning and monitoring. It is only in the mild to moderate cases of PCOS, one can expect spontaneous ovulation with Fertomid or the equivalent drugs and therefore each individual situation has to be carefully assessed. There is also the tendency of these drugs to prolong the cycle and give the patient the impression that a pregnancy may have occurred but this in fact is a simple effect of the drugs. It is important to stress that the use of these fertility inducing agents such as Fertomid, Clomid, Serophene, etc should always be used under the supervision of practitioner familiar with the side effects/complications of these drugs.
Answered by: Dr M.I. Cassim
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